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Organization
MY OPTIMAL LIFE
Active
Organization
MY OPTIMAL LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BROSSFIELD (CLINIC MANAGER)
(760) 691-2069
Entity
Organization
Contact information
Practice address
72301 COUNTRY CLUB DR STE 105, RANCHO MIRAGE, CA 92270-8007
(760) 691-2069
Mailing address
72301 COUNTRY CLUB DR STE 105, RANCHO MIRAGE, CA 92270-8007
(706) 567-8207
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
05/12/2023
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